How do I install the Eso Pediatric Obesity Physical Activity skill?

Run npx skillmds@latest add dromlakhani/eso-pediatric-obesity-physical-activity in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Eso Pediatric Obesity Physical Activity safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: docs only. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Eso Pediatric Obesity Physical Activity?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Eso Pediatric Obesity Physical Activity free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Eso Pediatric Obesity Physical Activity?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Eso Pediatric Obesity Physical Activity by dromlakhani

Name: Eso Pediatric Obesity Physical Activity
Rating: 4.5 (4 reviews)
Author: dromlakhani

Eso Pediatric Obesity Physical Activity

Prescribes physical activity for pediatric obesity prevention and treatment in children and adolescents with BMI at or above the 85th percentile. Recommends at least 20 minutes, optimally 60 minutes, of vigorous physical activity on ≥5 days per week to improve metabolic health and reduce obesity risk.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Prescribe physical activity for pediatric obesity prevention/treatment

STEP 1 — Gather Information

Collect age, sex, BMI percentile, current physical activity level (minutes/day, days/week, intensity), comorbidities (orthopedic, cardiovascular, pulmonary), barriers to activity, and patient/family preferences for activities.

STEP 2 — Rule In / Rule Out

Is the patient aged 2–18 years with BMI ≥85th percentile?

Yes → Proceed to step 3.
No → Physical activity prescription for obesity prevention/treatment not indicated; consider general health promotion or other indications.

STEP 3 — Classify or Stratify

Classify current vigorous activity:

Current activity	Classification
<20 min vigorous activity <5 days/week	Insufficient
≥20 min vigorous activity ≥5 days/week	Sufficient (maintain)

STEP 4 — Decide

If insufficient: prescribe a graded plan starting with 20 minutes of vigorous activity (e.g., brisk walking, running, swimming) 3 days/week, increasing by 5–10 minutes weekly until reaching 60 minutes/day, 5 days/week. If sufficient: reinforce current regimen and encourage variety to maintain adherence.

Clinical Guardrails / Mimics / Pitfalls

Do not prescribe high-impact activity in patients with uncontrolled hypertension, severe joint limitations, or recent concussion without medical clearance; avoid focusing solely on weight loss as outcome; ensure activities are enjoyable and developmentally appropriate to prevent dropout; do not substitute screen-based sedentary time with passive video-guided exercise without actual movement.

Concrete Clinical Example

A 12-year-old with BMI at the 92nd percentile reports no regular vigorous activity. Prescribe: start with 20 minutes of brisk walking 3 days/week; add 5 minutes each week; goal: 60 minutes/day, 5 days/week (e.g., jogging, dance, sports) within 8 weeks.

Source: Pediatric Obesity Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2017, doi:10.1210/jc.2016-2573

TODO: consider adding scripts/calc.py for the eso-pediatric-obesity-physical-activity calculator

---name: eso-pediatric-obesity-physical-activitydescription: Prescribes physical activity for pediatric obesity prevention and treatment in children and adolescents with BMI at or above the 85th percentile. Recommends at least 20 minutes, optimally 60 minutes, of vigorous physical activity on ≥5 days per week to improve metabolic health and reduce obesity risk.---# Prescribe physical activity for pediatric obesity prevention/treatment## STEP 1 — Gather InformationCollect age, sex, BMI percentile, current physical activity level (minutes/day, days/week, intensity), comorbidities (orthopedic, cardiovascular, pulmonary), barriers to activity, and patient/family preferences for activities.## STEP 2 — Rule In / Rule OutIs the patient aged 2–18 years with BMI ≥85th percentile? - Yes → Proceed to step 3. - No → Physical activity prescription for obesity prevention/treatment not indicated; consider general health promotion or other indications.## STEP 3 — Classify or StratifyClassify current vigorous activity: | Current activity | Classification ||------------------|----------------|| <20 min vigorous activity <5 days/week | Insufficient || ≥20 min vigorous activity ≥5 days/week | Sufficient (maintain) |## STEP 4 — DecideIf insufficient: prescribe a graded plan starting with 20 minutes of vigorous activity (e.g., brisk walking, running, swimming) 3 days/week, increasing by 5–10 minutes weekly until reaching 60 minutes/day, 5 days/week. If sufficient: reinforce current regimen and encourage variety to maintain adherence.## Clinical Guardrails / Mimics / PitfallsDo not prescribe high-impact activity in patients with uncontrolled hypertension, severe joint limitations, or recent concussion without medical clearance; avoid focusing solely on weight loss as outcome; ensure activities are enjoyable and developmentally appropriate to prevent dropout; do not substitute screen-based sedentary time with passive video-guided exercise without actual movement.## Concrete Clinical ExampleA 12-year-old with BMI at the 92nd percentile reports no regular vigorous activity. Prescribe: start with 20 minutes of brisk walking 3 days/week; add 5 minutes each week; goal: 60 minutes/day, 5 days/week (e.g., jogging, dance, sports) within 8 weeks.**Source:** Pediatric Obesity Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2017, doi:10.1210/jc.2016-2573> **TODO:** consider adding scripts/calc.py for the eso-pediatric-obesity-physical-activity calculator

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